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HomeMy WebLinkAboutPermit PG12-139 - O'CONNOR RESIDENCEO'CONNOR RESIDENCE 4653 S 150 ST PG12 -139 City oft ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206- 431 -2451 Web site: http://www.TukwilaWA.gov Parcel No.: 0042000385 Address: 4653 S 150 ST TUKW Project Name: O'CONNOR RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG12 -139 06/26/2012 12/23/2012 Owner: Name: O'CONNOR DANIEL +TINA Address: 4653 S 150TH ST , TUKWILA WA 98188 Contact Person: Name: DANIEL O'CONNOR Address: 4653 S 150 ST , TUKWILA WA 98188 Email: Contractor: Name: OWNER AFFIDAVIT - DANIEL O'CONNOR Address: Contractor License No: Phone: 206 832 -5616 Phone: Expiration Date: DESCRIPTION OF WORK: PLUMBING FOR NEW BATHROOM DOWNSTAIRS Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature. $3,500.00 $178.50 I hereby certify that I have read an exa governing this work will be complie • wit The granting of this permit does not pre construction or the performance of work. on the back of this permit. Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: I l Z ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. me to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Signature: Print Name: Date: 6 4/ Z This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -4/10 PG 12 -139 Printed: 06 -26 -2012 PERMIT CONDITIONS Permit No. PG 12 -139 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. doc: UPC -4/10 PG 12 -139 Printed: 06 -26 -2012 CITY OF TUKW Community Developm epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** _ ( King Co Assessor's Tax No.: GDLZO0 C2.l(A Site Address: b5 $ 1 S bk� 54- t-.ve, Q$i9i? Suite Number: Floor: Tenant Name: DAtn+f 'CatA,nor. New Tenant: ❑ Yes ❑.. No PROPERTY,OWNER Name: et, c\ 0 Q 0,Al.nof Address: Li b s 3 S iS0k, Gk. Name: 'Dr. e 0CovitA0( Email: Address: q j 6 5. 'Snl, S� Exp Date: City: 1, kA.J.2 I k State: A Zip: 1 Ct $18g CO■TACTt'PERSON - person receiving all :project ` , 1Conllnunication o Name: et, c\ 0 Q 0,Al.nof Address: Li b s 3 S iS0k, Gk. Address: City: K k 1.A0; \ A State: L, et Zip: t' Eag l Phone: 2O6- y326-6/4 Fax: Email: Phone: Fax: PLUMBING CONTRACTOR INFORMATION Company Name: ow Wy V 1 "� Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 12c120 I,� Scope of Work (please provide detailed information): `1/LW1 \D\ �5.( 1,0A 14^ L VooVV- CIA LIV\CithNc Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: H:\Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Sewer: Page 1 of 2 iiIndicate type of plumbing fixtures and/or as piping outlets being installed and the quanti elow: Fixture Type :. Qty ` Bathtub or combination bath/shower I Dishwasher, domestic with independent drain Shower, single head trap 1-' Sinks I Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) : Fixture;Type • Qty'• Bidet Drinking fountain or water cooler (per head) Lavatory 1-' Urinal I Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type 5 Qty • Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet I Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets ;Fixture Type. Qty', • Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices PERMIT APPLICATTON NOTES a Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINGc R OR A HLJ,T ORIZED AGENT: Signature: J/) (� Date: Sri tit — 24 Z o , Z Print Name: 1/ 4 vt 1 C( 0 C O to v. t Y Day Telephone: L b 6' g 3 2 5b / g 5 i50 (--\ 4 1-1,, 14 Mailing Address: q b S 3 City H:Wpplications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -1 1.docx Revised: August 2011 bh State Zip Page 2 of 2 Citof Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: //www. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R12 -01986 Initials: JEM Payment Date: 06/26/2012 User ID: 1165 Total Payment: 927.15 Payee: DANIEL O'CONNOR SET ID: S000001765 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member D12 -012 EL12 -0592 M12 -103 PG12 -139 TOTAL: Amount 409.30 152.85 186.50 178.50 409.30 TRANSACTION LIST: Type Method Description Amount Payment Cash 927.15 TOTAL: 927.15 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES ELECTRICAL PERMIT - RES MECHANICAL - RES PLUMBING - RES STATE BUILDING SURCHARGE 000.322.100 000.322.101.00.0 000.322.102.00.0 000.322.103.00.0 640.237.114 404.80 152.85 186.50 178.50 4.50 TOTAL: 927.15 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6) IZ -I3 Project: O C:(0 i\36-R-__ Type of Inspection: \-1 N1 A L.- Address: -1&53 s ino Date Called: Special Instructions: I-yt'\ Date Wanted: In ---' 5 --[H cam.. P.m. Requester\1 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: . 1 J / A. - A2 7ol%C�l</ _ ror) .7" 4-)413 /.cklick/4. a (Inspect .�� . In A–) INSPECTION FEE REQUIR •. Prior to n t inspection, fee must be id at/6300 Southcenter Blvd.. uite 100. C 11 to schedule reinspection. 5 INSPECTION RECORD Retain a copy with permit INSPECTION NO PERMIT NO CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 6-o /ot � p G _(,.. TYper %ln� ction;, /,_A�/C. n `( t16 �/1 Address: Date Called: Special Instructions: Date Wanted: f') /i.rtti a.. •--0 p.m. Requester: Phone No: JApproved per applicable codes. Corrections required prior to approval. COMMENTS: (c /4 -cie_ v r--- 3melet.rtac) 6 '9 1-7° t.;>c.r P.r rU r- Inspeftor: Date REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with.perrnit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188. (206) 431. -3670 Permit. Inspection Request Line (206) 431 -2451 - PP,ta: 3� Project:. I" C e o n)N 0 e_ Type of Inspection: t \CtCC( L -- I b�.1 Add re:: t. 55 , l�`U Date Called: Special Instructions: p \ i w \�jir/C � +�0"^ l ,v6-i D ,. i S Date Wanted: 1 2- / C. .-'j. a.m. p.m. Requester: Phone r 4-/C)2.. ! 4, 9 DApproved per applicable codes: orrections required prior to approval. COMMENTS: 0 .CiOC'kt ate. " c.ts,1 T Ia iv Arai vc}r_ 1 lee _- Date: . t 26r R PECTION FEE REQUIRED. Prior to-next inspection, fee must:be paid at 6300 Southcenter Blvd., Suite 100. Call to.schedule reinspection. 5/1/2014 City of Tukwila Department of Community Development DANIEL O'CONNOR 4653 S 150 ST TUKWILA, WA 98188 RE: Permit No. PG 12 -139 O'CONNOR RESIDENCE 4653 S 150 ST Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 6/8/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 438 -9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 6/8/2014, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, &AA-5)AV Jennif Marshall rmit echnician File No: PG12 -139 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665 Gary Schenk From: Gary Schenk Sent: Monday, December 02, 2013 2:01 PM To: ' DanielO @McbrideConstruction.com' Cc: Jennifer Marshall Subject: D12 -012 Daniel, I have reviewed your request for another permit extension on your remodel project, permit #'s D12 -1012, M12 -103, IPG�1T 2't 1g9rand EL12 -0592. Based upon the fact that there have been no inspections to prove that your project is valid, I have no basis for extending your permits. As of 12/9/13, they will be expired and new permits must be obtained in order to proceed with your project. If you are able to prove that there has been measurable work performed that can be inspected and approved, I will reconsider your request. Please schedule an inspection this week if this is the case. Sincerely, Gary Schenk, Interim Building Official 1 Daniel O'Connor 4653 S 150th Street Tukwila 98188 CITY OF TUKWILA ATTN: Gary Schenk 6300 SOUTHCENTER BLVD, SUITE #100 TUKWILA, WA 98188 11 -26 -2013 RE: PERMIT NO. D12 -012 1,0 9G ■77`'1 O'CONNOR RESIDENCE 4653 S 150TH STREET TUKWILA Dear Gary Schenk: NOV 2 2013 t L12 -osti2_ c4;4 yr This is a written request for a permit extension. I am asking for one final permit extension. I'm no longer working out of town. I am currently a project engineer for Mcbride Construction Resources in Seattle. I've been employed for thirteen months. I tried for a loan at the time of the last permit extension but was denied. Previously I was self employed and did not qualify for a loan. I plan to reapply for a loan at the end of the year, once I have received my W2. Ultimately I want to finalize my permit and remain in compliance. If you would please grant me one more final extension, I will have the resources and time to comply with any corrections and updates required by the inspector and/or code upgrades. I don't want to waste anyone's time. If I am not able to get a permit extension, then I will call for an inspection before the permit expires. Please contact me before you make your final decision. Let me know when we can set up a time to meet at your earliest convenience. I am able to discuss this matter further by phone. 206 02 -949 or email DanielO @McbrideConstruction.com. Sincerely, TtJ3 J N IV1'.e ?L. i4,-o ' /2 v a- IZ t ttl DJ r s ; n�� aG, 17311 - 015 rri re- r,.f.►� — PALL. / p-T i T tg 9 , Daniel O'Connor I 2/z(/ 3 — /Q .,,Fs —r zo (t-- D-6 e0, - bf..1 jZ} V �b/1-TtF t•'t)i4lL J),614 8 f),J Csi-)"" 'Ffl 11 -01 -2013 City of Tukwila Jim flaggerton, Mayor Department of Community Development Jack Pace. Director DANIEL O'CONNOR 4653 S 150 ST TUKWILA, WA 98188 RE: Permit No. PG12 -139 O'CONNOR RESIDENCE 4653 S 150 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/09/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/09/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, ThLja Bill Rambo Permit Technician File: Permit File No. PG12 -139 6300 Southcenter Boulevard Suite #100 • Tukwila. Washington 98188 • Phone 206-431-3670 • Fax 206 - 431 -3665 June 25, 2013 Daniel O'Connor 4653 S 150 Street Tukwila, WA 98188 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Request for Extensions #2 Permits D12 -012, EL12 -0592, M12 -103, & PG12 -139 O'Connor Addition — 4653 S 150 St Dear Mr. O'Connor, This letter is in response to your written request for an extension to Permit Numbers D12-012, EL 12- 0592, M12-103, and PG 12 -139. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. It has been determined that the City of Tukwila Building Division will be extending your permits an additional 180 days from the date of expiration, through December 9, 2013. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, Jenhi - r M . shall Perilnit ech ician File: Permit No. D12 -012, EL12 -0592, M12 -103, & PG12 -139 WAPermit Center\Extension Letters\Permits\2012\PG12 -139 Permit Extension #2.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665 DANIEL O'CONNOR 4653 S 150711 STREET TUKWILA 98188 06 -07 -13 CITY OF TUKWILA ATTN: BUILDING OFFICIAL 6300 SOUTHCENTER BLVD, SUITE #100 TUKWILA, WA 98188 RE: PERMIT NO. PG12 -139 O'CONNOR RESIDENCE 4653 S 150TH STREET TUKWILA To: Bob Benedicto: RECEIVED JUN 10 2013 COMMUNITY DEVELOPMENT This is a written request for a second permit extension. At this time I am not able to schedule and/or complete my inspections. I've recently found full time employment in the Seattle area, so I'm not able to take time oft= and due to my current financial situation, I'm waiting to acquire a construction loan to complete my inspection requirements. Due to this I am unable to complete any corrections at this time. If any questions, please contact me at (206)402 - 9496. Thank you, Daniel O'Connor /da exk zl�h� 05 -01 -2013 City of .Tukwila Jim Haggerton,, Mayor Department of Community Development Jack Pace, Director DANIEL O'CONNOR 4653 S 150 ST TUKWILA WA 98188 RE: Permit No. PG12 -139 O'CONNOR RESIDENCE 4653 S 150 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 06/21/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 06/21/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. S incerely, fer Marshall it Technician File: Permit File No. PG12 -139 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188• Phone 206 -431 -3670 • Fax 206-431 -3665 s:! December 14, 2012 Daniel O'Connor 4653 S 150 Street Tukwila, WA 98188 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Request for Extensions Permits D12 -012, EL12 -0592, M12 -103, & PG12 -139 O'Connor Addition — 4653 S 150 St Dear Mr. O'Connor, This letter is in response to your written request for an extension to Permit Numbers D12 -012, EL12- 0592, M12 -103, and PG12 -139. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. It has been determined that the City of Tukwila Building Division will be extending your permits an additional 180 days from the date of expiration, through June 21, 2013. If you should have any questions, please contact our office at (206) 431 -3670. File: Permit No. D12 -012, EL12 -0592, M12-103, & PG12 -139 W:\Permit Center\Extension Letters\Permits\2012\D12 -012 Permit Extension.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206- 431 -3670 • Fax 206 - 431 -3665 DANIEL O'CONNOR 4653 S 150TH STREET TUKWILA 98188 12 -10 -12 CITY OF TUKWILA ATTN: BUILDING OFFICIAL 6300 SOUTHCENTER BLVD, SUITE #100 TUKWILA, WA 98188 RE: PERMIT NO. PG12 -139 O'CONNOR RESIDENCE 4653 S 150TH STREET TUKWILA Dear Bob Benedicto: This is a written request for a permit extension. The reason for the extension is due to my current economic situation and out of town work schedule. Due to this I am unable to schedule and/or complete an inspection in the allotted time. If any questions, please contact me at (206)832 -5616. Thank you. Sincerely, Daniel O'Connor TUKIAntA Qig `O RECEIVED CITY ibecia414 I DEC 1 3 20121 104-/201e PERM" Rviv*pr; Ve 10'5 12" 14;)c -I- Y.t12413 11 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DANIEL O'CONNOR 4653 S 150 ST TUKWILA WA 98188 RE: Permit No. PG12 -139 O'CONNOR RESIDENCE 4653 S 150 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/23/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/23/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG12 -139 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206-431-3665 • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431-3665 E -mail: tukplanPci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) \J €-\ h'L014 [please print name] , states as follows: PERMIT NO: L I1 O12-) \1L -\O7, P-12 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number t Z, and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. Owner /Owner's Agent* Signed aa,npd sworn to before me this day of 20 1cR. NOTARY PUBLIC in and for the State of Washington Residing at Name as commissioned: My commission expires: , County t5� 1D ---(9' c� /5